Healthcare Provider Details

I. General information

NPI: 1366286999
Provider Name (Legal Business Name): HEAL WITH CAT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 8TH AVE
CLARENCE IA
52216-9400
US

IV. Provider business mailing address

315 8TH AVE
CLARENCE IA
52216-9400
US

V. Phone/Fax

Practice location:
  • Phone: 563-343-0788
  • Fax:
Mailing address:
  • Phone: 563-343-0788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CATHERINE ST CLAIR
Title or Position: LICENSED MASSAGE THERAPIST
Credential: LMT
Phone: 563-343-0788